<form id="form_benevoles" name="form_benevoles" class="form_benevole"action="benevoles_traitement.php" method="POST">
		<div class="colonne">
			<div class="c1">
				<label class="label_radio_form_benevole">Civilité*</br>
					<input class="radio_form" type="radio" name="civilite" value="Mme" />Mme
					<input class="radio_form" type="radio" name="civilite" value="Mlle" />Mlle
					<input class="radio_form" type="radio" name="civilite" value="Mr" />M
				</label>
				<label class="label_form_benevole">Nom*
					<input class="text_form_benevole" type="text" id="nom" name="nom" />
				</label>
				<label class="label_form_benevole">Prenom*
					<input class="text_form_benevole" type="text" id="prenom" name="prenom" />
				</label>
				<label class="label_form_benevole">Date de naissance*
					<input class="text_form_benevole" type="date" id="date_naissance" name="date_naissance" />
				</label>
				<label class="label_form_benevole">Adresse*
					<input class="text_form_benevole" type="text" id="adresse" name="adresse" />
				</label>
				<label class="label_form_benevole">Ville*
					<input class="text_form_benevole" type="text" id="ville" name="ville" />
				</label>
				<label class="label_form_benevole">Code postal*
					<input class="text_form_benevole" type="text" id="cp" name="cp" />
				</label>
				<label class="label_form_benevole">Telephone*
					<input class="text_form_benevole" type="tel" id="telephone" name="telephone" />
				</label>
				<label class="label_form_benevole">Email*
					<input class="text_form_benevole" type="email" id="email" name="email" /></br></br>
				</label>
				<label class="label_form_benevole">Vos compétances
					<p class="checkbox_entete_competance">Marshall sur le terrain<input class="checkbox_form_benevole" type="checkbox" name="options_competance" value="marshall"/></p>
					<p class="checkbox_entete_competance">Commissaire de piste<input class="checkbox_form_benevole" type="checkbox" name="options_competance" value="FFM"/></p>
					<p class="checkbox_entete_competance">Surveillance sur le terrain<input class="checkbox_form_benevole" type="checkbox" name="options_competance" value="surveillance"/></p>
					<p class="checkbox_entete_competance">Buvette, restauration, parking...<input class="checkbox_form_benevole" type="checkbox" name="options_competance" value="buvette"/></p>
				</label>
				
			</div>
			<div class="c2">
				<label class="label_checkbox__form_benevole">Disponibilité</br>
					<p class="checkbox_entete">Avant l'endurance<input class="checkbox_form_benevole" type="checkbox" name="disponibilite" value="Je suis disponible avant l\'endurance pour les préparatifs"/></p>
					<p class="checkbox_entete">Le 26 Octobre<input class="checkbox_form_benevole" type="checkbox" name="disponibilite" value="Je suis disponible le Samedi 26 Octobre"/></p>
					<p class="checkbox_entete">Le 27 Octobre<input class="checkbox_form_benevole" type="checkbox" name="disponibilite" value="Je suis disponible le Dimanche 27 Octobre"/></p>
					<p class="checkbox_entete">Facilement disponible<input class="checkbox_form_benevole" type="checkbox" name="disponibilite" value="Je suis facilement disponible, j\'attends votre appel"/></p>
				</label>
				<label class="label_textarea_form_benevole">Message pour des organisateurs
					<textarea class="textarea_form_benevole" type="textarea" id="text" name="text"/></textarea>
				</label>
				
				<input class="bouton_formulaire" type="submit" name="button" value="Envoyer ma demande"/>
				<p class="important">* Champ obligatoire</p>
			</div>
		</div>
	</form>

REATE TABLE IF NOT EXISTS `benevoles` (
  `id_benevoles` int(11) NOT NULL AUTO_INCREMENT,
  `civilite_benevoles` varchar(255) NOT NULL,
  `nom_benevoles` varchar(255) NOT NULL,
  `prenom_benevoles` varchar(255) NOT NULL,
  `date_benevoles` date NOT NULL,
  `adresse_benevoles` varchar(255) NOT NULL,
  `ville_benevoles` varchar(255) NOT NULL,
  `cp_benevoles` varchar(10) NOT NULL,
  `email_benevoles` varchar(255) NOT NULL,
  `tel_benevoles` varchar(15) NOT NULL,
  `competance_benevoles` text NOT NULL,
  `dispo_benevoles` text NOT NULL,
  `text_benevoles` text NOT NULL,
  `date_demande_benevoles` datetime NOT NULL,
  PRIMARY KEY (`id_benevoles`)
) 

// gestion des messages d'erreur
	$msg_erreur = "Erreur. Les champs suivants doivent être obligatoirement remplis :<br/><br/>";
	$msg_ok = '<p class="confirmation_reception">Votre demande a bien été prise en compte.</p>';
	$DATE = Date("d/m/Y H:i:s");
	$message = $msg_erreur;


// verification des champs obligatoires du formulaire avant traitement	
	if (empty($_POST['civilite']))
		{
		$message .= "Votre civilité<br/>";
		}
	if (empty($_POST['nom']))
		{
		$message .= "Votre nom<br/>";
		}
	if (empty($_POST['prenom']))
		{
		$message .= "Votre prenom<br/>";
		}	
	if (empty($_POST['date_naissance'])) 
		{
		$message .= "Votre date de naissance <br/>";
		}
	if (empty($_POST['adresse']))
		{
		$message .= "Votre adresse<br/>";
		}	
	if (empty($_POST['ville']))
		{
		$message .= "Votre ville<br/>";
		}	
	if (empty($_POST['cp']))
		{
		$message .= "Votre code postal<br/>";
		}	
	if (empty($_POST['telephone']))
		{
		$message .= "Votre numero de téléphone<br/>";
		}	
	if (empty($_POST['email']))
		{
		$message .= "Votre adresse email<br/>";
		}	
		
		
	
	if (strlen($message) > strlen($msg_erreur))
		{
		echo $message;
		}	
	else 
		{
		foreach($_POST as $index => $valeur) 
			{
			$$index = stripslashes(trim($valeur));
			}
			// champs case à cocher compétance	
				$competance = $_POST['options_competance'];
				$sqlcomp = '';
				
					for ($i=0; $i<count($competance); $i++)
						{
						$sqlcomp .= $competance[$i];
						$sqlcomp .= ' ';
						}	

			//champs case à cocher disponibilié			
				$disponibilite = $_POST['disponibilite'];
				$sqldispo = '';
				
					for ($i=0; $i<count($disponibilite); $i++)
						{
						$sqldispo .= $disponibilite[$i];
						$sqldispo .= ' ';
						}	
					
				$sql = "INSERT INTO benevoles(id_benevoles, civilite_benevoles, nom_benevoles, prenom_benevoles, date_benevoles, adresse_benevoles, ville_benevoles, cp_benevoles, email_benevoles, tel_benevoles, competance_benevoles, dispo_benevoles, text_benevoles, date_demande_benevoles) 
			VALUES ('','$civilite','$nom','$prenom','$date_naissance','$adresse','$ville','$cp','$email','$telephone','$competance','$disponibilite','$text','$DATE')";
				$res = mysql_query($sql); 
			}
	
	if ($res) 
		{
		echo $msg_ok;
		} 
	else 
		{
		echo mysql_error();
		}